Direct (647) 607-7529 or Main (905) 593-0499

FORMS Accident Benefits

Access Auto Insurance Claims Forms Here

Effective November 1 2014, Accident Benefits Application OCF-1

Employer's Confirmation Form OCF-2

Disability Certificate OCF-3

Permission to Disclose Health Information OCF-5

Expenses Claim Form OCF-6

Election of Income Replacement/Non-Earner/Caregiver Benefit OCF-10

Effective November 1, 2014, Treatment and Assessment Plan OCF-18

Application for Determination of Catastrophic Impairment OCF-19

Treatment Confirmation Form OCF-23

Notice of Examination OCF-25

Insurance Act

Superintendent’s Report on the Definition of Catastrophic Impairment

Assessment of Attendant Care Needs Form-1

A Law Firm. You Can Trust.

CALL US (647) 607-7529

  Personal Injury Lawyers

Our Personal Injury Accident Benefits Lawyers service Brampton , Mississauga , Milton , Toronto , Etobicoke, Markham, Richmond Hill, Thornhill, Vaughan, Caledon, Oakville , Burlington, Orangeville, Newmarket, Barrie, Collingwood, Wasaga Beach.

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  Contact Us
  Mississauga Law Chambers

151 City Centre Drive, Suite 201,
Mississauga, ON L5B 1M7

  Brampton Law Office

2 County Court Blvd., 4th Floor,
Brampton, ON L6W 3W8

  Oakville Law Office

2275 Upper Middle Road E., #101,
Oakville, ON L6H 0C3

Direct : (647) 607-7529
Local : (905) 593-0499
Business Hours : 8:00 - 6:30
Evening Appointments Available

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